vancomycin and peripheral iv's - page 2

Can anyone give me any sites or info on whether or not you can give vanco in a peripheral iv. A co worker and I were discussing it but I can not find any evidence based info. thanks Dawn... Read More

  1. by   Miss Kitty00
    I hate giving Vanco through peripherals. At my facility we always run it for 2 hours, usually at 125ml/hr. If they suppose to have Vanco for an extended amount of days, than we asked for a PICC line.
  2. by   hecallsmeDuchess
    I've never thought twice about giving vanco through a patent PIV because that's the way we do it at my facility. The only time I advocate PICCs have been on patients with very scarce veins and on multiple antibiotics. Thanks to all of you now because I'll do better
  3. by   noyesno
    I hate infusing vanco through PIV's. The IV site almost always goes bad. No me gusta.

    Recently, pharmacy mixed a piggyback of vanco for my patient. It was 1,750 mg in 500 ml's and the label said to infuse over 1 hour. I was like, "no way Jose," and called the pharmacy to report the error. Yikes!
  4. by   Miss Kitty00
    Quote from noyesno
    I hate infusing vanco through PIV's. The IV site almost always goes bad. No me gusta.

    Recently, pharmacy mixed a piggyback of vanco for my patient. It was 1,750 mg in 500 ml's and the label said to infuse over 1 hour. I was like, "no way Jose," and called the pharmacy to report the error. Yikes!
    LOL! now that's ridiculous!!!!!
  5. by   kevx
    We change IV sites every 3-4 days at my faculty. Many times vanco shortens the life of the PIV. Our pharmacy is good enough to put the infusion rate in our MAR, so we can double check when we check it off as completed.
  6. by   Vespertinas
    I've rarely blinked at the idea. Sorry, I can't fight em all.

    Honestly, I've seen WAY less complications with IV vanc than I have with IV amio and yet vanc is categorized as worse.
  7. by   leslie :-D
    working with what you have, i'd dilute it, run it slowly, and administer it at its most distal port.
    then monitor, monitor, monitor.

    leslie

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